QI-Core Implementation Guide
4.1.1 - STU 4.1.1 US

This page is part of the Quality Improvement Core Framework (v4.1.1: STU 4) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: QICore Present On Admission Codes - JSON Representation

Draft as of 2021-05-14

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{
  "resourceType" : "ValueSet",
  "id" : "qicore-present-on-admission",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/shareablevalueset"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-presentOnAdmission.html\"><code>https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-presentOnAdmission.html#presentOnAdmission-Y\">Y</a></td><td>Yes</td><td>Diagnosis was present at time of inpatient admission. CMS will pay the CC/MCC DRG for those selected HACs that are coded as &quot;Y&quot; for the POA Indicator.</td></tr><tr><td><a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-presentOnAdmission.html#presentOnAdmission-N\">N</a></td><td>No</td><td>Diagnosis was not present at time of inpatient admission. CMS will not pay the CC/MCC DRG for those selected HACs that are coded as &quot;N&quot; for the POA Indicator.</td></tr><tr><td><a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-presentOnAdmission.html#presentOnAdmission-U\">U</a></td><td>Unknown</td><td>Documentation insufficient to determine if the condition was present at the time of inpatient admission. CMS will not pay the CC/MCC DRG for those selected HACs that are coded as &quot;U&quot; for the POA Indicator.</td></tr><tr><td><a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-presentOnAdmission.html#presentOnAdmission-W\">W</a></td><td>Undetermined</td><td>Clinically undetermined.  Provider unable to clinically determine whether the condition was present at the time of inpatient admission. CMS will pay the CC/MCC DRG for those selected HACs that are coded as &quot;W&quot; for the POA Indicator.</td></tr></table></li></ul></div>"
  },
  "url" : "http://hl7.org/fhir/us/qicore/ValueSet/qicore-present-on-admission",
  "version" : "4.1.1",
  "name" : "QICorePresentOnAdmission",
  "title" : "QICore Present On Admission Codes",
  "status" : "draft",
  "experimental" : false,
  "date" : "2021-05-14",
  "publisher" : "http://www.hl7.org/Special/committees/cqi/index.cfm",
  "contact" : [
    {
      "name" : "Clinical Quality Information WG",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    }
  ],
  "description" : "Value Set for QICore Present On Admission.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "compose" : {
    "include" : [
      {
        "system" : "https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding",
        "concept" : [
          {
            "code" : "Y",
            "display" : "Yes"
          },
          {
            "code" : "N",
            "display" : "No"
          },
          {
            "code" : "U",
            "display" : "Unknown"
          },
          {
            "code" : "W",
            "display" : "Undetermined"
          }
        ]
      }
    ]
  }
}